Mental Health Resources at MRHC

mental health services

“Based on the outcomes of our latest Community Health Needs Assessment (CHNA), mental health is one of the main concerns of our rural communities,” shared MRHC Education Coordinator, Julie Hodne, RN. “So, we are prioritizing mental health support, increasing available mental health resources, and sharing insight to better help people of all ages.”

Hollie Schechinger, a counselor at the Recovery Center at MRHC will be adding to her responsibilities in the coming weeks to serve as a full-time mental health counselor. Schechinger will begin seeing patients ages 12 and older beginning in June.

Mental health continues to affect many people regardless of their age, gender, medical history, life status, etc. and MRHC recognizes that a “one size fits all” approach to treatment does not work. MRHC strives to offer a variety of mental health services for different ages and needs.

According to the CDC, one in five people, including children, will experience a mental illness at some point in their life. With that in mind, it is important to be aware of common mental health warning signs.

Common Warning Signs in Children
  • Ongoing behavior problems at school, home, or daycare
  • Constant movement or hyperactivity
  • Frequent and unexplainable temper tantrums, outbursts, or explosive emotional reactions
  • Unusual fears/worries, thoughts, beliefs, feelings, or behaviors
  • Having a hard time getting involved with age appropriate activities
  • Difficulty concentrating, paying attention, or being organized for their age level
  • Lack of interest in friends and avoiding or isolating from friends and family
  • Negative moods for long periods of time
  • Obsession on certain thoughts, activities, or actions
  • Lack of energy even when well rested
  • Difficulty with sleeping
  • Frequent physical complaints with no obvious cause
  • Sad or hopeless feeling with no reason
  • Self-harm or talk of self-injury or suicide
  • Persistent nightmares or visual or audio hallucinations
  • Eating problems (too little or too much)
  • Violence towards others, animals, or property
  • Refusing to go to school and ongoing decline in school performance
  • Risky or dangerous behaviors like sexually acting out, recklessness, or running away

“Depending on the severity of their behaviors, we recommend that parents call to schedule a mental health evaluation with a mental health provider,” said Schechinger, LMSW. “If a child is making comments of self-harm or suicide, take them to the nearest emergency room.”

If you notice some of these warning signs, the CDC recommends several strategies for helping children cope with mental health issues. Talk to them about and validate their feelings of stress or sadness, reassure their safety, let them know it is okay to feel upset, be a good role model, spend time together, and provide professional support if needed. It is also important to limit their social media exposure, provide fun and relaxing activities, and maintain regular routines.

While symptoms can be similar to children’s, warning signs in adults often involve:

  • Decrease in enjoyment from and isolating from friends and family
  • Significant decrease in school or work performance or resisting to attend
  • Memory, attention, and concentration problems
  • Large changes in energy levels, eating, and sleeping patterns
  • Physical symptoms (headaches, stomachaches, backaches)
  • Feeling hopeless, sad, anxious, or crying often
  • Frequent aggression, disobedience, or lashing out verbally
  • Neglect of personal hygiene
  • Substance abuse
  • Dangerous or illegal thrill-seeking behavior
  • Being overly suspicious of others
  • Visual or auditory hallucinations

“Some effective ways to help cope with depression, anxiety, and other mental health disorders include going for a walk, reading a book, calling a friend, taking a nap, playing with animals, exercising, spending time with family or friends, taking a shower, watching a favorite movie or TV show, eating a snack, and going out to eat with friends or family,” Schechinger recommended.

Schechinger goes on to advise that if these strategies are not helping, it’s important to see a mental health provider for an evaluation and to follow their recommendations for treatment.

“MRHC provides outpatient mental health support through a therapist, medication management, and substance abuse addiction services through the Recovery Center if needed,” Schechinger shared.

Substance Abuse and Mental Health

Mental illness and addiction can often go together. Individuals with mental health disorders are statistically proven to be at high risk for addiction and those struggling with addiction have a high risk for mental health disorders, especially depression and anxiety.

“Rarely do we treat someone who has an addiction that does not have at least one mental health diagnosis as well,” said Recovery Center Director, Taya Vonnahme, MSN, RN, ARNP, CADC. “These two iare very different diagnoses and have different treatments but are still associated with each other in various ways.”

Mental issues are sometimes signs of substance abuse as well. Psychological warning signs of drug abuse that can be seen as mental health issues are things such as changes in personality or attitude; sudden mood swings, irritability, or angry outbursts; and appearing fearful, anxious, or paranoid for no reason.

“Here at the Recovery Center, we have mental health therapists who come once a week to meet with clients. In addition to that, when I see clients, I help them address many of these issues from a medical standpoint,” Vonnahme said. “This is an area we are working to expand in the near future.”

Mental Health in Aging Individuals

Elderly individuals can also suffer from the effects of mental illness. Things such as more physical complaints, frequent ER visits, sleeping problems, low energy, cognitive issues, weight loss or gain, and isolation from family and friends can all result from an individual dealing with a mental health issue.

“Oftentimes, people attribute these changes as part of the aging process, but that’s not always necessarily the cause,” said Senior Life Solutions Program Director, Janet Brus, RN.

If you notice these things in a loved one, it is important to be aware of other red flags that may point to a mental health issue.

  • Change in physical status – not eating, losing, or gaining weight, or eating junk food
  • Increased irritability when normally very pleasant and easy going
  • Previously independent with daily tasks and now relies on someone to get groceries, pay bills, shower, etc.
  • Misplacing things
  • Talking about feeling lonely and isolated
  • An increase or start in using alcohol or other substances
  • Poor medication compliance

For elderly individuals over the age of 65 who are struggling with depression or anxiety, the Senior Life Solutions program at MRHC offers group counseling sessions that have seen great success.

“People often find a common ground with each other as they have all been through some of the same life experiences and enjoy the support from each other,” shared Brus. “It also makes them get up, leave their home, and gives them a purpose. We all need a purpose – something to get up and do and look forward to each day. Without purpose, one would just stay in bed and no longer participate in life.”

Family members, physicians, or other health professionals can refer individuals to the Senior Life Solutions program. For those interested in learning more or signing up, call 712-655-8262.

If you need additional mental health information, education, or would like to discuss support, please schedule an appointment with your primary care physician by calling (712) 655-8100 to discuss treatment options. For those 65 and older, call Senior Life Solutions at (712) 655-8262. Or call the Manning Recovery Center at (712) 655-2300.

MRHC Inspires Ertz to Become a Nurse

Mya Ertz

Mya Ertz“I always knew that I wanted to help people,” shared Mya Ertz, RN at MRHC. “I found that nursing had many different avenues to care for others, so my junior year of high school I met with Jill Arp about the tuition assistance program through MRHC and I was sold. My passion to help others, in addition to the tuition assistance and flexibility in roles at MRHC, encouraged me to pursue nursing.”

The tuition assistance program at MRHC has helped many employees like Ertz advance in their nursing careers by paying for their tuition and books. Once an employee passes their boards, they return to work at MRHC and “work off” their tuition assistance. For every hour of work, $1.00 of the tuition assistance is “paid back.” The employee never actually pays MRHC. They simply go to work, use their education to properly care for patients, and then, over time, their tuition is paid back.

“The tuition assistance program is an amazing opportunity for people to gain experience in the field and complete school without the financial burden of student debt,” said Ertz. “I worked at MRHC as a CNA and LPN through school and gained valuable experience as I completed my RN.”

Ertz has now completed her schooling and has established a rewarding career at MRHC that she enjoys.

“I like working at MRHC for many reasons,” said Ertz. “Not only is MRHC close to home, but it also employs many of my close friends. The atmosphere is amazing, even in passing people say hi with a smile. The hospital is my home away from home.”

As Ertz looks toward the future of her career, she is excited to continue to learn and grow and is grateful for all the opportunities she will have at MRHC.

“I want to gain experience in a diversity of roles to determine how I can best care for patients and my family,” Ertz shared. “Another reason MRHC is a great place to work, I can help in different departments and roles!”

Because of Ertz’s passion for healthcare and eagerness to grow in her career, she has become a valuable asset to MRHC.

“Mya is a very determined individual and takes pride in all her work. If she sets her mind to something she accomplishes it,” said MRHC Clinic Director, Shelby Dickson, RN. “She is a great team player and always provides the best care possible to our patients. She goes above and beyond for her team and our patients. Mya has a positive attitude, a strong work ethic, and has been a great addition to our team.”

For anyone who may be considering a career in healthcare, specifically in nursing, Ertz shares this advice.

“Nursing is a field with vastly different roles. The options are endless, and opportunities are bountiful.”To join the MRHC team or learn more about the tuition assistance program, visit www.mrhcia.com/careers or call (712) 655-2072 for more information on current job openings.

Bruce Named Outstanding Employee at MRHC

George Bruce

George BruceGeorge Bruce, IT Specialist at Manning Regional Healthcare Center (MRHC), was recognized for his exceptional performance and growth in his job and received the 2023 MRHC Outstanding Employee Award on May 10th. Bruce was nominated for the award by several of his co-workers who all agreed he not only meets but exceeds the criteria for this award.

The Outstanding Employee Award recognizes an MRHC employee who consistently performs a high quality of work and extra duties beyond those normally assigned, demonstrates a willingness to work with others and assist whenever needed, has a positive attitude, displays exceptional dependability, and creates a positive work environment. Characteristics that Bruce undeniably possesses, making him a popular nomination and an easy choice for the award.

In a nomination letter, one of Bruce’s co-workers commented that, “George is extremely passionate about his job and ensures that MRHC not only has a safe network but that users can access and do their work efficiently. He has gone above and beyond in the number of projects he has helped to implement in the time he has been here. We are so much safer and better off with him. I don’t know what we would do without George!”

Another co-worker commented that, “everyone at MRHC knows his laugh, and he’s built positive, collaborative relationships with employees all throughout the facility. I think most, if not all, would say that if George is working on their IT problem, they can expect a resolution. He continually puts in time outside of his core hours (evenings and weekends) and he is always there and available. There are so many technical things George has impacted that most employees don’t see or know about.”

In addition to assisting with technical needs and problem-solving for fellow co-workers, Bruce has also played an integral role in helping MRHC seamlessly introduce a new electronic health record system earlier this year.

“George’s technical knowledge is unmatched by anyone I’ve ever worked with and that shows in his quality of work,” said a fellow co-worker. “He has been instrumental in our EMR conversion, often serving as the subject matter expert for technologies, vendors, equipment, and systems that we don’t even own.”

Several of Bruce’s co-workers also shared how his personality, dependability, and commitment to MRHC make him the best choice for the Outstanding Employee Award.

“George is extremely dependable when it comes to finding answers or solving problems and he works tirelessly until he finds solutions for his peers,” a co-worker wrote. “He puts others’ wants and needs above his own and is always willing to lend a helping hand where needed. If there is a problem, he will not only fix it but go above and beyond to research how to prevent it from happening in the future. He is super knowledgeable, very approachable, and always willing to help. We are so lucky to have George at MRHC!”